| NPI | 1003869850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALLEN Owner President 631-543-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 236374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2238341) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-09-11 |